三孔法腹腔镜胆总管探查术的临床应用

Clinical application of three ports laparoscopic common bile duct exploration

目的：探讨三孔法腹腔镜胆总管探查术的可行性和临床价值。方法：回顾分析为48例胆总管结石患者施行三孔法腹腔镜胆总管探查术的临床资料，术中胆道镜配合开腹胆道手术器械取石。结果：48例手术均获成功，无一例中转开腹，3例术后胆漏，腹腔引流5～7d治愈。术后平均住院7．5d，均无残余结石和严重并发症发生。结论：三孔法腹腔镜胆总管探查术操作简便、易行、安全、可靠、有效，患者创伤小、康复快，值得临床推广应用。

Objective： To discuss the feasibility and the clinical value of 3-port laparoscopic common bile duct exploration （LCBDE）. Methods：The clinical data of 48 choledocholithiasis patients who were treated by 3-port LCBDE were retrospectively analyzed. Cholelithotomy was conducted with choledochoscope and bile duct open operation instruments. Results： Forty-eight operations were performed successfully and no case was converted to open surgery. Postoperative bile leakage occurred in 3 cases and was cured with abdominal drainage for 5 to 7 days. The mean postoperative hospital stay was 7.5d. No severe complications and residual stone occurred. Conclusions ： Three-port LCBDE is easy, safe, dependable, effective, mini-invasive, and of quick recovery, which is worth further clinical application.